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A piercing story: ingestion of a grill wire brush bristle

Published online by Cambridge University Press:  16 April 2021

R Chen ,
J Koh ,
Y C Zhao  and
E Pudel
R Chen*
Affiliation:
ENT Department, Royal Melbourne Hospital, Melbourne, Australia
J Koh
Affiliation:
ENT Department, Royal Melbourne Hospital, Melbourne, Australia
Y C Zhao
Affiliation:
ENT Department, Royal Melbourne Hospital, Melbourne, Australia
E Pudel
Affiliation:
ENT Department, Royal Melbourne Hospital, Melbourne, Australia
*
Author for correspondence: Dr Rufi Chen, 300 Grattan St, Parkville, VIC3050, Australia Email: [email protected]
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Abstract

Background

This paper reports the dangers of an ingested metal wire bristle from a barbeque brush, which resulted in oesophageal perforation.

Case report

A 49-year-old gentleman presented to the emergency department with foreign body sensation and odynophagia after having consumed barbequed lamb for lunch. Computed tomography of the neck demonstrated a thin linear opacity near the thoracic inlet. The object could not be visualised on emergent rigid oesophagoscopy. Subsequent neck exploration enabled localisation of a retropharyngeal abscess and a thin wire bristle from a barbeque brush.

Conclusion

Always consider the utensils employed in food preparation as a differential in ingested foreign bodies. Thin wire objects have a high propensity to migrate and result in complications, hence urgent intervention is vital.

Keywords

Foreign BodiesOtolaryngologyEsophageal PerforationRetropharyngeal AbscessNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 467 - 469
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr R Chen takes responsibility for the integrity of the content of the paper

References

Ballenger, J, Bennet, R, Dorsey, J. Perforation of esophagus by a wire bristle and its removal. Q Bull Northwest Univ Med Sch 1952;26:309–11Google ScholarPubMed
Grand, D, Egglin, T, Majo-Smith, WW, Cronan, J. Injuries from ingestion of wire bristles from grill-cleaning brushes - Providence, Rhode Island, March 2011–June 2012. MMWR Morb Mortal Wkly Rep 2012;61:490–2Google Scholar
Ikenberry, SO, Jue, TL, Anderson, MA, Appalaneni, V, Banerjee, S, Ben-Menachem, T et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73:1085–91CrossRefGoogle ScholarPubMed
Eisen, GM, Baron, TH, Dominitz, JA, Faigel, DO, Goldstein, JL, Johanson, JF et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002;55:802–6CrossRefGoogle ScholarPubMed
Brinster, CJ, Singhal, S, Lee, L, Marshall, MB, Kaiser, LR, Kucharczuk, JC. Evolving options in the management of esophageal perforation. Ann Thorac Surg 2004;77:1475–83CrossRefGoogle ScholarPubMed
Biancari, F, D'Andrea, V, Paone, R, Di Marco, C, Savino, G, Koivukangas, V et al. Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies. World J Surg 2013;37:1051–9CrossRefGoogle ScholarPubMed
Lam, EC, Brown, JA, Whittaker, JS. Esophageal foreign body causing direct aortic injury. Can J Gastroenterol 2003;17:115–17CrossRefGoogle ScholarPubMed
Chirica, M, Kelly, MD, Siboni, S, Aiolfi, A, Riva, CG, Asti, E et al. Esophageal emergencies: WSES guidelines. World J Emerg Surg 2019;14:26CrossRefGoogle ScholarPubMed
Wong, S, Brook, C, Grillone, G. Management of wire brush bristle ingestion: review of literature and presentation of an algorithm. Ann Otol Rhinol Laryngol 2016;125:160–4CrossRefGoogle ScholarPubMed
Schneider, AL, Hicks, KE, Matsuoka, AJ. Cervical oesophageal perforation secondary to food consumption in a well-appearing patient. BMJ Case Rep 2017;2017:bcr2017222576CrossRefGoogle Scholar
Brooks, JA, McKeon, M, Chow, JS, Watters, K. Intraoperative ultrasound for localization and removal of an oropharyngeal wire grill-brush bristle. Ann Otol Rhinol Laryngol 2019;128:681–4CrossRefGoogle ScholarPubMed